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20,750 students aged 5–18 years from Southern China were screened for myopia between 2018 and 2021. Ningfeng Li authored this serial cross-sectional study comparing two diagnostic criteria: spherical equivalent refraction alone versus combined with uncorrected visual acuity. The combined criterion consistently yielded lower prevalence estimates, revealing a 15–21% annual relative overestimation by the simpler method.
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